JOANNA KELLIN (NPI# 1578992020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578992020 |
| Entity Type | Individual |
| Full Name | JOANNA KELLIN |
| Practice Address |
712 Minnesota Ave Detroit Lakes MN 56501-3035 |
| Practice Telephone | 2188475628 |
| Mailing Telephone | 2188475628 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R-185092-9 | MN | Nursing Service Providers |
| Street Address |
712 MINNESOTA AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164512372 | Becker County | Public Health or Welfare | 712 Minnesota Ave, Detroit Lakes, MN 56501-3035 | 2006-10-16 |
| 1245669647 | Anna Muzik | Registered Nurse | 712 Minnesota Ave, Detroit Lakes, MN 56501-3035 | 2013-11-06 |
| 1518284272 | Becker County Human Services | Community/Behavioral Health | 712 Minnesota Ave, Detroit Lakes, MN 56501-3035 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078686 | St Marys Regional Health Center | Registered Nurse | 114 Frazee St E, Detroit Lakes, MN 56501 | 2005-10-24 |
| 1245669647 | Anna Muzik | Registered Nurse | 712 Minnesota Ave, Detroit Lakes, MN 56501-3035 | 2013-11-06 |
| 1740627710 | Cynthia Kay Rastedt | Registered Nurse | 119 Graystone Plaza, Suite 110, Detroit Lakes, MN 56502 | 2013-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359827 | Sarah Jean Riedel | Registered Nurse | 631 Jefferson St N, Wadena, MN 56482-2336 | 2018-09-13 |
| 1770062028 | Laura Patricia Stefanski | Registered Nurse | 10910 Kentucky Ave N, Champlin, MN 55316-3822 | 2018-08-08 |
| 1104276070 | Khadra Mohamed | Registered Nurse | 515 15th Ave S, Apt 251, Minneapolis, MN 55454-1588 | 2016-06-21 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1487099933 | Diane Boyenga | Registered Nurse | 2 Roundwind Rd, Luverne, MN 56156-1300 | 2013-05-09 |
| 1780924811 | Lindsay Prescott | Registered Nurse | 308 S Dekalb St, Redwood Falls, MN 56283-1915 | 2013-02-27 |
| 1952654857 | Annmarie J Suess | Registered Nurse | 105 S 5th St Ste 119h, Olivia, MN 56277-1375 | 2012-10-17 |
| 1659646958 | Diane Shepherd | Registered Nurse | 115 Sixth St. Nw, Suite E, Cass Lake, MN 56601-3061 | 2012-03-20 |
| 1558691238 | Vicki Lynn Roff | Registered Nurse | 6248 Balsam Rd Nw, Bemidji, MN 56601-7728 | 2010-01-03 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on JOANNA KELLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.